Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2002
NPI: 1679548531
Practice Locations (2)
PLATINUM PEAKS HEALTHCARE PC
3020 S UNION AVE
TACOMA, WA 984093317
2538444327
PACIFIC MEDICAL SPECIALTY GROUP
3020 S UNION AVE
TACOMA, WA 984093317
2538444327
Source: CMS National Downloadable File, September 2026.